Mr Kamlesh Samson Macwan, MD in Peoria, IL

Mr Kamlesh Samson Macwan, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Peoria, Illinois. His current practice location is 530 Ne Glen Oak Ave, St Francis Medical Center, Peoria, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 655-2485.

Mr Kamlesh Samson Macwan is licensed to practice in Illinois (license number 3248) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1851306575.

Contact Information

	Mr Kamlesh Samson Macwan, MD
	530 Ne Glen Oak Ave, St Francis Medical Center, Peoria, IL 61637
	(309) 655-2485
	(309) 655-2874

Map and Direction

Physician's Profile

Full Name	Mr Kamlesh Samson Macwan
Gender	Male
Speciality	Pediatrics - Neonatal-perinatal Medicine
Location	530 Ne Glen Oak Ave, Peoria, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851306575
Provider Enumeration Date: 07/30/2006
Last Update Date: 09/11/2025

Medicare PECOS Information:

PECOS PAC ID: 3173774635
Enrollment ID: I20121108000558

Medical Identifiers

Medical identifiers for Mr Kamlesh Samson Macwan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851306575	NPI	-	NPPES
004082	Other	IL	HEALTH ALLIANCE
IL0105	Other	IL	JOHN DEERE
03608163702	Medicaid	IL
7215111	Other	IL	BLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	53948 (Illinois)	Secondary
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	3248 (Illinois)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Kamlesh Samson Macwan allows following entities to bill medicare on his behalf.

Entity Name	The Board Of Trustees Of The University Of Illinois
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kamlesh Samson Macwan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Kamlesh Samson Macwan, MD Po Box 1186, Pekin, IL 61555-1186 Ph: (309) 353-4483	Mr Kamlesh Samson Macwan, MD 530 Ne Glen Oak Ave, St Francis Medical Center, Peoria, IL 61637 Ph: (309) 655-2485

Reviews and Comments

Pediatrics Doctors in Peoria, IL

Thomas James Mcmorrow, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2553 Fax: 309-655-2602
Jessica Ford-davis, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2274
Kelsey Elizabeth Grimes, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2000
Jessica N Mistretta, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 8600 State Route 91 Ste 200, Peoria, IL 61615 Phone: 309-692-1030 Fax: 309-691-3241
Mrs. Valeria Claudia Benavides Lopez, M.D., M.P.H. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-624-3313
Dr. Gretchen L Kopec, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-624-0615
Dr. Patrick Joseph Rizzuto Iii, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-671-3000

Mr Kamlesh Samson Macwan, MD - Medicare Pediatrics in Peoria, IL